Level 2 Accredited Epilepsy Training


Benefits of Epilepsy Course

Our Epilepsy course will ensure appropriate and sensitive support, promote best quality of life and reduce risks for people with epilepsy. The epilepsy course is beneficial to those working with or responsible for the welfare and wellbeing of individuals with epilepsy


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Who Will Benefit?

This Epilepsy course is targeted at carers, health care assistants, support workers who are involved with individuals who suffer from epilepsy.



Course Description:

This theory and practical Epilepsy course is designed for any healthcare worker who has a particular interest in the care of a patient with Epilepsy.


Epilepsy can start at any age, but it most often begins during childhood. It's often not possible to identify a specific reason why someone develops the condition, although some cases – particularly those that occur later in life – are associated with damage to the brain.


Epilepsy Course Aims and Intended Learning Outcomes

By the end of the Epilepsy course you will:

· NICE / Triggers / Warning signs / Types of seizures / Tonic Clonic / simple First Aid / simple, Complex, Atonic, Myoclonoic & Absence seizures / Do's & Don’t s / When to call the ambulance / Recovery

· Status Epilepticus

· Signs & Symptoms / Treatment

· Safety

· Heat / Water / Heights / Electricity / sharp furniture / Attitudes

· Activities of Daily Living

· SUDEP (Sudden unexpected death in Epilepsy)


Introduction to Midazolam

· Background / Requirements for use / Risk assessment / specific guidelines /

· Routes of administration/Practical work.

Epilepsy is a common condition


That affects the brain and causes frequent seizures.

There are two main types of seizures. Generalized seizures affect the whole brain. Focal, or partial seizures, affect just one part of the brain.


Seizures are usually,

  1. Unpredictable - you often can't predict when and where a seizure may happen

  2. Episodic - seizures can come and go

  3. Brief - usually last only seconds to a few minutes

  4. Stereotypic - symptoms are similar whenever they occur

The cells in the brain,


Known as neurons, conduct electrical signals and communicate with each other in the brain using chemical messengers.


During a seizure, there are abnormal bursts of neurons firing off electrical impulses, which can cause the brain and body to behave strangely.


It's often not possible to identify a specific reason why someone develops the condition, although some cases – particularly those that occur later in life – are associated with damage to the brain.

For example,


Epilepsy can be caused by strokes, brain tumours and severe head injuries.

If a seizure lasts for more than five minutes or for prolonged up to 30 minutes, it may be difficult to stop unless treatment is given. It is therefore important that rapid treatment is given to stop the seizures and therefore prevent status epilepticus.

The preferred emergency medication


Recommended by NICE (National Institute for Clinical Excellence) is used to prevent status in the community (outside of the hospital setting) is midazolam:



Epilepsy is a disruption of brain function that results in a series of seizures or fits.  It can affect anyone of any age, level of intelligence and ethnic group.  Most types of epilepsy respond well to regular medication and many people become seizure-free.  With medication and a sensible lifestyle, a full and active life is possible.


How is epilepsy diagnosed?


Epilepsy is not one condition.  There are numerous epilepsy syndromes and each has its own symptoms, seizure types, causes, methods of diagnosis, outcomes and management.  For this reason it’s important that an epilepsy syndrome be identified and the proper treatment determined in consultation with the GP.


Seizures can be convulsive or non-convulsive.  Seizure types vary but the most common types are:


  • Tonic-clonic

  • Absence

  • Simple and complex partial


Convulsive seizures


Generalised tonic-clonic seizures are seizures that involve the whole brain.  There is a loss of consciousness, the body stiffens and the limbs jerk.  These seizures generally last one to three minutes, after which the person may wish to rest or sleep.


Non-convulsive seizures


Absence seizures mostly affect children.  These seizures also involve the whole brain and are associated with brief (up to 30 seconds) periods of loss of consciousness that may occur many times a day. Absence seizures are often mistaken for day-dreaming or lack of concentration and can disrupt learning by creating gaps in information received.


Simple and complex partial seizures occur when the abnormal cell activity affects only part of the brain.  These seizures can vary widely depending on which part of the brain is involved. 


The person may experience:-


  • Stiffening or jerking of part of the body

  • A loss or distorted awareness of surroundings

  • Unusual feelings, tastes or smells

  • Temporary speech impairment


The person may also be unresponsive, confused or use inappropriate behaviour.

Buccal midazolam is a drug used to stop seizures.

What is midazolam?

Midazolam belongs to a group of medicines called benzodiazepines, which are used to treat a number of different conditions, including seizures. If a seizure lasts for more than five minutes, it may be difficult to stop unless treatment is given. It is therefore important that rapid treatment is given to stop the seizures and therefore prevent status epilecticus. Status epilepticus is a condition where a person has a seizure (convulsion or fit) or a series of seizures that last for 30 minutes or more, without a complete recovery of consciousness.

Midazolam is chemically related to diazepam, which is another medicine used to treat seizures.

How is buccal midazolam given?

The midazolam solution should be placed against the sides of the gums and cheek so that the medicine is absorbed directly into the bloodstream. This is known as the buccal or oromucosal route. If the medicine is swallowed accidentally, it might not work as quickly.

Buccal midazolam is available as:

  • Buccolam® contains Midazolam Hydrochloride 5mg in 1ml in pre-filled oral syringes of 2.5mg, 5mg, 7.5mg and 10mg.

  • Epistatus® contains Midazolam Maleate 10mg in 1ml. It is a preparation in a 5ml bottle with four oral syringes in the packaging. Epistatus® is also available as pre-filled oral syringes of 2.5mg, 5mg, 7.5mg and 10mg. This is an unlicensed product, available as a ‘special’.

It is important to remember which brand and dose your child uses. 

What is the Epilepsy course mapped to?

  • Level 2 award Epilepsy course enables learners to achieve the standard required, knowledge and understanding of a subject relevant to their own work setting.


Assessment and Certification

Course assessment comprises:

· a short Q&A session which will assess understanding of the theoretical component of the Epilepsy course.

· Practical session on administering buccal midazolam



Course Length

3 hours theory



Number of Attendees

Attendees minimum 6 to maximum 15



This training course is available as in-house training at a venue of your own choice throughout the UK.




Level 2 Accredited certificate from Endeavour Care Training through Advantage Accreditation


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